Individual
KIMBERLY JEAN SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5425 TOPSFIELD LN, CLAY, NY 13041-8608
(716) 307-1971
Mailing address
5425 TOPSFIELD LN, CLAY, NY 13041-8608
(716) 307-1971
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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